Conrad C Theiss Dmd INC

NPI #1194054940 in Kahului, Hawaii

Provider Information

NPI Number
1194054940
Entity Type
Organization
Organization Name
Conrad C Theiss Dmd INC
Primary Specialty
Dentist - Periodontics
Enumeration Date
Dec 8, 2009
Last Updated
Dec 8, 2009

Practice Location

Address
33 LONO AVE SUITE 210
State
Hawaii
ZIP Code
96732
Phone
(808) 877-3605

Authorized Official

Name
DR. CONRAD C THEISS
Title
PERIODONTIST
Phone
(808) 877-3605

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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